maxillofacial trauma micro X mbale

Kuvulala kwapakamwa ndi maxillofacial nthawi zambiri kumachitika chifukwa cha kuvulala kokhudzana ndi ntchito, kuvulala pamasewera, ngozi zapamsewu komanso kuvulala mwangozi pamoyo. Magazi a maxillofacial ndi wolemera, olumikizidwa ku ubongo ndi khosi, ndipo ndi chiyambi cha kupuma thirakiti ndi m`mimba thirakiti.Pali mafupa a maxillofacial ndi zibowo sinuses. Pali mano omwe amamangiriridwa ku fupa la maxillofacial, ndipo lilime lili m'kamwa.Nkhope ili ndi minofu ya nkhope ndi minyewa ya nkhope; Mgwirizano wa temporomandibular ndi ma glands a salivary; Amagwira ntchito zowonetsera, kulankhula, kutafuna, kumeza ndi kupuma.

Kukonzekera kwa maxillofacial fracture pambuyo pa kuchepetsa ndi sitepe yofunikira pa chithandizo.Njira zokhazikika zomwe zimagwiritsidwa ntchito nthawi zambiri zimaphatikizapo kukhazikika kwa nsagwada imodzi, kukhazikika kwa interjaw, interjaw ligation fixation, miniplate kapena microplate fixation, cranial ndi nsagwada fixation, ndi njira zina zikuphatikizapo perimaxillary fixation ndi compression plate fixation.

1. Njira yothetsera nsagwada imodzi ya mano: ndikugwiritsa ntchito waya wa aluminiyamu wa 2 mm m'mimba mwake kapena mankhwala omalizidwa ndi mbedza, malingana ndi mawonekedwe a chipilala cha mano, ndiyeno gwiritsani ntchito waya wabwino wachitsulo kupyolera mu danga la dzino, chingwecho chimagwirizanitsidwa ndi mbali kapena mano onse kumbali zonse ziwiri za fracture, njira yoyenera yothyoka. kuthyoka kopanda kusuntha kodziwikiratu, monga kuthyoka kwa mzere wapakati wa maxillochin ndi kuthyoka kwa alveolar komweko.

2. Intermaxillary fixation: njira wamba ndi kuika mbedza mano Chipilala chopindika pamwamba ndi m'munsi mano, ndiyeno ntchito yaing'ono mphira gulu kwa intermaxillary fixation, kotero kuti nsagwada amakhalabe mu udindo wa yachibadwa occlusal ubale.This njira ndi odalirika, oyenera zosiyanasiyana fractures fractures, ubwino ndi kuti nsagwada kuchira kuchira, ubwino ndi kuti nsagwada kuchira bwino. kuipa n'chakuti ovulazidwa sangathe kutsegula pakamwa kudya, komanso si kophweka kukhala m'kamwa ukhondo, ayenera kulimbikitsa unamwino.

3. Interosseous ligation ndi fixation: pakuchita opaleshoni kuchepetsa kutseguka, mapeto awiri osweka a fracture amatha kugwedezeka ndiyeno amangiriridwa ndi kukhazikika kudzera muzitsulo zosapanga dzimbiri.Iyi ndi njira yodalirika yothetsera.

4. Small mbale kapena yaying'ono mbale fixation: pa maziko a Buku kuchepetsa lotseguka, mbale yaing'ono kapena yaying'ono mbale ya kutalika koyenera ndi mawonekedwe aikidwa kudutsa fupa pamwamba pa malekezero osweka a fracture, ndi wononga wapadera ntchito kudutsa fupa kotekisi kukonza mbale, kuti akwaniritse cholinga fixation wa fracture. Zing'onozing'ono mbale zing'onozing'ono amagwiritsidwa ntchito kwa mandillable maxillable.

5. Cranial ndi maxillofacial fixation njira: maxillary transverse fracture, sangangodalira mandible kwa fixation, angagwiritse ntchito chigaza kwa fixation, apo ayi pakati nkhope sachedwa deformation elongated. Njira fixation ndi choyamba ikani Chipilala splint pa mano maxillary, ndiye kumangiriza chigawo chimodzi cha chitsulo chopanda waya, chitsulo chopanda waya. ndi mapeto ena a arch splint kupyolera m'kamwa pakamwa kudzera mu minofu yofewa ya zygomaticocheek, ndikupachika pa chithandizo cha kapu ya pulasitala.

Nthawi yowonongeka kwa nsagwada imatha kutsimikiziridwa molingana ndi kuvulala kwa wodwalayo, zaka ndi chikhalidwe chake.Nthawi zambiri ndi masabata a 3 ~ 4 kwa maxilla ndi masabata a 4 ~ 8 kwa mandible.Njira yokhazikika komanso yosasunthika ingagwiritsidwe ntchito kufupikitsa nthawi ya interjaw fixation.Njirayo ndi yakuti pambuyo pa 2 kwa masabata a 3 a immobilization, mphete ya rabara ndi mbale yoyenera imaloledwa kugwiritsa ntchito mbale yaing'ono ya microft kudyetsa. kukonza mkati, maphunziro ogwira ntchito amatha kuchitidwa bwino pasadakhale kulimbikitsa machiritso a fracture.